Active NPI
Andrea Florence Pollock, M.S. CCC-SLP
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1609499037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP011038
- Practice address
- 1270 McConnell Dr Ste B
Decatur, GA 30033-3507 - Phone
- (770) 982-6878
- NPI assigned
- May 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP011038 | GA | Primary |
Addresses
Primary practice location
1270 McConnell Dr Ste B
Decatur, GA 30033-3507
Mailing address
4511 Hampton Woods Dr NE
Marietta, GA 30068-5402
Phone (770) 910-0231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP011038 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1609499037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 HAMPTON WOODS DR NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685402",
"telephone_number": "770-910-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1270 MCCONNELL DR STE B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300333507",
"telephone_number": "770-982-6878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "ANDREA",
"middle_name": "FLORENCE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-20",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP011038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.